Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
IFOSFAMIDE
APP
63323-0142-12
PDS
1 GM
ea
72.56
58.05
IFOSFAMIDE
APP
63323-0142-10
PDS
1 GM
ea
72.56
58.05
IFOSFAMIDE
Baxter Anesthesia
10019-0925-01
PDS
1 GM
1 gm
67.50
56.25
IFOSFAMIDE
Baxter Anesthesia
10019-0926-02
PDS
3 GM
3 gm
202.50
168.75
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
IFOSFAMIDE
MANUFACTURER:
APP
FORM:
POWDER FOR SOLUTION
STRENGTH:
1 GM
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(SDV)
GENERIC NAME:
IFOSFAMIDE
NDC:
63323-0142-12
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
72.56
72.5600
4/29/2005
DIR
HCFA
PRODUCT:
IFOSFAMIDE
MANUFACTURER:
APP
FORM:
POWDER FOR SOLUTION
STRENGTH:
1 GM
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.)
GENERIC NAME:
IFOSFAMIDE
NDC:
63323-0142-10
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
72.56
72.5600
4/29/2005
DIR
HCFA
PRODUCT:
IFOSFAMIDE
MANUFACTURER:
Baxter Anesthesia
FORM:
POWDER FOR SOLUTION
STRENGTH:
1 GM
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(SDV,30ML VIAL)
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:IFOSFAMIDE
NDC:
10019-0925-01
SIZE:
1 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
67.50
67.5000
9/12/2005
DIR
HCFA
PRODUCT:
IFOSFAMIDE
MANUFACTURER:
Baxter Anesthesia
FORM:
POWDER FOR SOLUTION
STRENGTH:
3 GM
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(SDV,75ML VIAL)
GENERIC NAME:
IFOSFAMIDE
NDC:
10019-0926-02
SIZE:
3 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
202.50
67.5000
9/12/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 2
